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Home My WebLink About39219-Z Town of Southold Annex 10/15/2014 u P.O.Box 1179 ar 54375 Main Road ' ► Southold,New York 11971 ��.r.Yrsrsi j CERTIFICATE OF OCCUPANCY No: 37213 Date: 10/15/2014 THIS CERTIFIES that the building WINDOWS Location of Property: 3775 New Suffolk Ave, Mattituck, SCTM#: 473889 Sec/Block/Lot: 115.-3-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/15/2014 pursuant to which Building Permit No. 39219 dated 9/29/2014 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "AS BUILT"WINDOW REPLACEMENTS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Smith,James&Smith,Kim (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authonte"d Signatur TOWN OF SOUTHOLD BUILDING DEPARTMENT 'N TOWN CLERK'S OFFICE 'a • + : SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39219 Date: 9/29/2014 Permission is hereby granted to: Smith, James & Smith , Kim 3775 New Suffolk Ave Mattituck, NY 11952 To: As Built Window Replacement As Applied For. At premises located at: 3775 New Suffolk Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-3-27 Pursuant to application dated 9/15/2014 and approved by the Building Inspector. To expire on 3/30/2016. Fees: AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $400.00 CO -ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial $15.00 j Date. z 6P 3/ New Construction: Old or Pre-existing Br(uildinng/gam� `` (check one) Location of Property: 7 ju— �/U Ik Ouse No. Stre�etf Hamlet Owner or Owners of Property: !7'1 Suffolk County Tax Map No 1000, Section Block Lot Subdivision ^� f Filed Map. Lot: Permit No. d— L.� Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporaryy Certificate Final Certificate: (check one) Fee Submitted: $ �^ Applicant Signature OF SO(/r�o� • ao TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: � �• DATE /o/O-7 INSPECTOR FIELD IN§ft qN 1tE'�DI�T DATE CONIIIDCNTS 41, It FOUNDAVON(1ST) v cl ny FOUNDATION(ZND) r tz rA ROUGH FP.AN Q& �- y PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL , ADVMOffg • v TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:-(631) 765-1802 Planning Board approval FAX: (631) 765-9502 q Suryey SoutholdTown.NorthFork.net PERMIT NO. 1LL Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration 20 6 Building Inspector APPLICATION FOR BUILDING PERMIT Date , 20 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) 3 17r (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises J�•y» (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) ��11 Builders License No. �jCl tel` - ,3-470" # Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of 14nd on which pro osed work wil be done: House Number Street Hamlet County Tax Map No. 1000 Section / 15 Block 3 Lot c� 7 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy IG r �/ b. Intended use and occupancy ° 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work /�S q�l,L on-0 [,t 4C/u& (Descriptions)dr//S 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. /7l 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO rr 14.Names of Owner of premise KJv� Addressi*g/'/-r,�<F4 AMU_2- Phone No. M—for-qAw Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE IjEQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO ✓ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUN/YF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the I' rd / ( ont actor,Agent,Corporate Officer,etc.) of svidomirei v, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Swo tMefore me th' - day of 66ek" 20 0 N 0o�h V 1 1 , -Qj ILAA A RUSSELL Notary ublic Notery Signature of ApplicantPublic,S No.01 RU6062796 Qualified in Suffolk County 1 Commission Expires August 20,2Q OF SO!/Tyol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G • OQ Southold,NY 11971-0959 �0 �yCOUNTY,�1c� October 8, 2014 BUILDING DEPARTMENT TOWN OF SOUTHOLD James & Kim Smith 3775 New Suffolk Ave Mattituck NY 11952 TO WHOM IT MAY CONCERN: The Foil wing Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: ✓/Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 39219 - Windows Customer Sales•Person: Acknowledgement ® OPINION 7/14,2014 Customer Name I Quote Not Ordered 119040 BY DESIGN CONTRACTING CORP Customer Number: Bill To: Ship To: 631-281-0874 Phone: {631)"281-0874 =ax: Order Notes: Delivery Notes: Quote Name: Project Name: CPERATING OCTAGON NOT BY DESIGN BY DESIGN AVAILABLE 1N/J CHANNEL shapes are exact size _ i 4 1 6 No one 1 1 1 59.5"X 66.5" 125 Overall Rough Opening 60"X67' 0179-New Constructior Leh(nct.re t Right 59.5 x 66.5 Unit 1:Operation i Venting-Let. Unit 2:Operation i Venting=PiclUe Unit 3:Operation i Ventirg=Rignt New Cwstruction No i-Charnnel Fran-e Color-White CLIMA?ECF.No Upgrade No Jamb Exter�siw,Rough Owllvg g Moils 1:Vertical Crxnn:o•Frarre 0"thick,66.5"length Mulls 2:Vertical Gunmmorn Frame 0"-hick,V1,5"let?g1h Line Nem Notes: Oft :• None Assigned l APPROVED AS NOTED ��.-��UPA ' ' !"' R ICY OR DATE: z /q B.P. �� USE IS UNLAWFUL FEE: ss- BY:�� WITHOUT CERTIFICATE NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Ciu� "i-HALCES OF 2. ROUGH - FRAMING & PLUMBING 3. INSULATION NEW Y07, X & TOWN CODES 4. FINAL - CONSTRUCTION MUST AS REQUIRED AI1'�'�6 NS OF BE COMPLETE FOR C.O. Page 1 Of 5 -0 ueluffll M; ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW S ,.w RD YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ��—R- ---- 5�'� ?�uSTEES pill'' Ig WON WMA 4414b I 0 None Awl 2-1 3 67"X 69.5" 137 $3134.96914,88 Ovorall Rough Opening 57.5"X 70" C301-New Ca-structor Do:-,ole 1-1r,g 1 Doi tie IA i-c 67 x 69.5 Sash Split=Even Operation i Vertirg=Dcuble'-jurg Now Co-structio,No J-Charrel Fran•e Coicr=Whitc CLIMATECF,No upgrade No Jamb Extensier,Rough Ope wig ®. Ver ical Factory 0.5"thick,69.5'length Line Hem Notes: 'L JL I None Assigned 3 Xz# 2-2 3 01 X 0" 0 $24.74 $74.22 Sizes are NOA FACTORY MULLED Vertical Mull Length:70.7 Line Item Notes: None Assigned Ra... k.. •.i yi 3-1 2 43"X 69.5" 113 $165.10 $330.20 Overall Rough Opening 43.5'X 70" 0301-New Constructor-Douole Flung 43 x 69.5 Sash Split=Ever, Opelatior /Vesling=Double'"ung New Ccx mructia;No J-Charnel Frarre Color=White CLIMATECF..No Upgrade No Jamb Extensions.Rough Openir6 Line Item Notes: F None Assigned Page 2 Of 5 IN xz ? t,€sYs... .aP..3. .... w .. #1».. e.t..'........�3 i S.- .#Fc_S. 1 0 one W24444 our r_v4-1 1 60"X 43" 103 244,84 Overall Rough Opering 6C.5"X 43.5" C201-Naw Gxstruct or-Do..ole h r)g%DoLtle Furg 60 x43 Sash Split=Every Opot ation/Veriing=Double i!urg 1 New Cor'structic-No.,-Char.rol Franc Cacr=Whitc CLIMATECI No Upg%ado a No Jarnb Extersicv.Rough Oper:rg !2 Vertical Facloty 0.5'thick,43"le?-gth R Line Item Notes: None Assigned 4-2 1 0"X 0" 0 -24.74 $24.74 Sizes are NOA FACTORY MULLED Vesical Mull length:44.2 Line Item Notes: None Assigned .x 5-1 1 39"X 32" 71 79.25 79.25 Overall Rough Opering 39.5"X32.5* 0104-New Constructor 39 x 32 New Cor-struction No''•Channel Frame Color=White j CLIMATECF,No Upgrade No Jamb Extersicr.Rougt Opernng Line Nem Notes: +tt 1 30 None Assigned Page 3 Of 5 R��.�+3FI�R -*84£ a.x rc a�Yt�a�la. y i zxx -Li.t i63�rr..z ;sv r _ -3{a.a: ?� _axs...,>. 3° rmzc r -. az r 0 None . .. _ - 7 R 'ago .. ;' k .t�f ��*" Elg-t-{.Fpif��"i-11; �g5#-9 �.fI .� .-gx3` -iii:_ sw•._+_ F^_ ..,=c�u.x:z, r.._.xs. ...£.`.£_.£E i.._-.S aa`e rFgsx_ aae 6-1 e 1 43"X 62" 105 $159.05159,05 Overall Rough Openirg 43.5"X 62.5" C301-Naw Cocstmct or Do4ole H.rg 43 x 62 Sash:Split=Ever, Operatior;/Verting-Dcuble-urg Now CorstructiorNo Charnel Fran-e Colcr=White CLIMATECF,No upgrade n No Jamb Exier:sicr,Rough Oprr lrg Line Item Notes: None Assigned pp -MM tT t. jFc f r S xi". 1. # NI }} 7-1 1 24'X 24" 48 312.62 _. 312.62 Sizes are NOA S133-Roplaccmont Shapes Octagor-Vort 24 x24 Call Width=24,Call Height=24 Operation/Verting=Vert New Cor`truction Frarre Color=While CLIMATECF Nail Fin Line Item Notes: cv None Assigned -- 8-1 1 60.5"X 69.5" 130 $419.91 $419.91 Overall Rough Opening 61"X70' 0179-Nen Cor:struaior Leh;Ficue;R gl-t 6C.5 x 69.5 Unit 1:Operation i Ven1irg=Leh Unit 2:Opeatio r i Venting=Piave Unit 3:Operation i Venting=Rig,'^t New Corstruction No'-Charnel Frarre Color=White CLIMATECF,No upgrade No Jamb Extension,Rough Opening 5 Mulls 1:Venlcal Corrmon Frame 0"thick,e9.5"length Mulls 2:Venlcal Common Franke 0"thick,69.5"lergth Line hem Notes: r t0 + ,xx < None Assigned Page 4 Of 5 'dWjTL.T Y 3 T �* iY NNW '-ax ..!L_K�£"s tp #lialy ��.}i�,�,•c ... 6 1 No None 9 1 d 1 43"X 56" 99 263.64 $263,64 Sizes are NOA Ni 25-11,11ew Cors*,i,ctior Shapes CGP Correr 43 x 56 Frarre Short Side=30,Rance Head Length=9 New Corstructior No J-Char.rel Fran-e Color=While CLIMATECF- No,;arab Extension Line Item Notes: R' 1 43 . IMANone Assigned 10-1 1 43"X 56" 99 $253.64 $263.64 Sizes are NOA N125-Now Carstructior Shapes Clip Corner 43 x 56 Fran•e Short Side=30,Frame Head Length=9 New Corstrudior.No J-Channel Fran•e Cdicr=White CLIMATECI- No Jamb Extensior Line Nem Notes: �I 1 None Assigned 'hark you`cr your order.Pease review this quote,and con9rm that all details are corect by signing below.Since 17 these Products-will-he custoru made to your specifications,it is.nosicancellable,nonreUrrable,arc nonrefundable. _ $2,506.90; _ Act ial tax ill a calculated when your order s invoiced Tax may vary sl ghtly from what is displayed on the $O.W ,.',uJdoted pricing-ill be honore for 30 days,unless otherwise stated. 30.00` $0.W $0.00: Aut z Representative $3.506.90;. �Q 3 Page 5 Of 5 1 13,1